Ch 53 med surg

pessary

A __________ is a firm, doughnut-shaped or ring device, which may be inserted in the upper vagina to reposition and give support to the uterus when surgery cannot be done or the pt declines surgery

fistula

A ___________ is an unnatural opening between two structures

carcinoma in situ

A localized malignancy is referred to as ____________________________.

unexplained vaginal bleeding

A pt asks a nurse to identify what s/s suggests cervical cancer. The nurse is most correct in identifying which of the following?

pelvic inflammatory disease

Hospitalization with complete bed rest often is necessary. Parenteral or oral antibiotics are administered as soon as culture and sensitivity tests are obtained. IV fluids are ordered if the pt is dehydrated, and antipyretics are used if the temperature is elevated. A ruptured pelvic abscess requires emergency surgery.

endometriosis

Severe dysmenorrhea and copious menstrual bleeding are typical symptoms. The pt may experience dyspareunia and pain on defecation. Rupture of a chocolate cyst results in severe abdominal pain that can mimic other abdominal pathologies such as appendicitis or bowel obstruction

vaginal cancer

The incidence of this type of cancer is higher among women infected with human papilloma virus (HPV), a sexually transmitted microogranism, and among those who use a pessary but neglect to remove and clean it.

using superabsorbent tampons, leaving internal contraceptive devices in place

The nurse advices pts regarding the increased potential for developing toxic shock by avoiding which of the following? SATA

cervical cancer

The nurse advocates that pre-teens and teenagers receive HPV vaccination to reduce the risk for which reproductive disorder?

0.5-1.9g

The physician prescribes ampicillin (Polycillin) 1g IM q 6h for a pt with toxic shock syndrome. The accompanying literature says an adult pt may have 25mg to 100mg per kg in 4 equally divided doses. calculate safe range of pt who weighs 164 lbs. round to tenth

monitoring for anemia

Which of the following should be the most important nursing assessment when caring for a pt with uterine fibroids?

contact precautions

Which type of infection transmission precautions is best for the nurse to follow when caring for a pt with pelvic inflammatory disease?

endometriosis

_______________ is a condition in which tissue with a cellular structure and function resembling that of the endometrium is found outside the uterus

estrogen

deficiency of this hormone causes thinning of the vaginal walls, breast and uterine atrophy, and loss of bone density. The risks of heart disease and stroke increase with reduction in this hormone

wash, rinse, and dry the pessary before reinsertion, insert the pessary as far back in the vagina as possible, remove the pessary if discomfort develops

What information is appropriate when a nurse explains the use of a pessary to a pt? SATA

take frequent sitz baths

What is the best suggestion the nurse can recommend to a pt diagnosed with vaginitis to relieve itching, burning and swelling of the vulva and perineum.

leiomyoma

When symptoms exist, menorrhagia is most common. There can be a feeling of pressure in the pelvic region, dysmenorrhea, anemia (from loss of blood), and malaise. (fibroid tumor)

provide warm perineal irrigations

Which of the following interventions should the nurse take to promote healing and to lessen discomfort of a pt who has just undergone surgical repair of a rectovaginal fistula?

leiomyoma

An _______________ (also called myoma) is a benign uterine growth principally consisting of smooth muscle and fibrous connective tissue. Myomas, which are the most common tumor in the female pelvis, often are referred to as fibroid tumors

vulva

Cancer of the __________ is relatively rare. It usually occurs in women older than 60 years of age, but cases among younger women have arisen recently. This type of cancer is highly curable when diagnosed in an early stage

ambulate frequently, apply antiembolic stockings, supervise active leg exercises

Following an abdominal hysterectomy, what nursing measures help to prevent the development of thrombophlebitis? SATA

kegel exercises

These exercises are also known as pelvic floor strengthening exercises. They are recommended when there is stress incontinence

vaginal fistula

They result in the continuous drainage of urine or feces from the vagina. The vaginal wall and the external genitalia become excoriated and often infected. The pt may not void through the urethra bc urine does not accumulate in the bladder

toxic shock syndrome

Treatment of ________ ________ ____________ includes IV fluids to support circulation while combating the infection with IV antibiotic therapy. Potent adrenergic drugs are given to counteract peripheral vasodilation and maintain renal perfusion. Oxygen is given to promote aerobic metabolism at the cellular level